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R2011-04 AUTHORIZING AGREEMENT
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R2011-04 AUTHORIZING AGREEMENT
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Last modified
10/1/2015 10:51:11 AM
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10/1/2015 10:51:06 AM
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Resolution/Ordinance
Res Ord Num
R2011-04
Res Ord Title
AUTHORIZING AGREEMENT FOR EARLY RETIREMENT REINSURANCE PROGRAM ADMINISTRATION
Department
Finance
Approved Date
1/18/2011
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LLC or other similar entities (collectively referred to as "HCSC third parties"). By <br /> obtaining this data from a third party source, HCSC does not warrant and/or assume <br /> responsibility for the accuracy of such data. In addition, HCSC may obtain or use data <br /> or information provided by Employer or third parties not contracted by HCSC. HCSC <br /> does not warrant and/or assume responsibility for the accuracy of any data provided by <br /> Employer or any third party not contracted by HCSC. <br /> 2. HCSC Data. The parties recognize that HCSC's existing data sources, and those of its <br /> subcontractors, were not designed for purposes of the ERR Program. Thus, HCSC <br /> cannot and does not guarantee the accuracy of such information and data for purposes <br /> of the ERR Program. <br /> B. Cooperation. The parties recognize that they must mutually cooperate to perform the <br /> services required under this Agreement, and that HCSC is not responsible if it is unable to <br /> complete any tasks because Employer, or any third party contracted or designated by <br /> Employer, fails to meet its obligations, including providing required data. <br /> C. Requlatorv Chanaes. If either party believes that subsequent guidance or requirements <br /> from HHS materially atter the scope of services or manner in which the services <br /> contemplated by this Agreement are to be provided, or that any provision of this Agreement <br /> is inconsistent with ERR Program Requirements, that party shall promptly notify the other <br /> party in writing, and the parties shall negotiate in good faith to amend this Agreement. <br /> XII. RETENTION OF RECORDS <br /> HCSC and Employer shall maintain all records required by 45 C.F.R. §149.350 for a period not <br /> less than ten (10) years after the expiration of the Group Health Plan Year in which Claim costs <br /> were Incurred, or as otherwise required by law. Further, HCSC will maintain and disclose to <br /> HHS or the Office of the Inspector General of the U.S. Department of Health and Human <br /> Services ("OIG"), upon their request, the records sufficient to document Claim data, in <br /> accordance with 45 C.F.R. §149.350(d) and antifraud policies, procedures, and supportuing <br /> information, in accordance with 45 C.F.R. §149.40(fl(4)(iii), and shall maintain (and/or cause <br /> HCSC's contracted pharmacy benefit manager to maintain) such records for the same ten (10) <br /> year period (or longer if extended by HHS or the OIG). <br /> XI11. HIPAA COMPLIANCE <br /> The parties acknowledge and agree that this Agreement involves the use and disclosure of <br /> data that may include HIPAA protected health information. The parties therefore agree that all <br /> uses and disclosures of HIPAA protected health information pursuant to this Agreement, <br /> including any transition services developed under Section III., will be undertaken in compliance <br /> with HIPAA and all regulations adopted in connection therewith. Further, the parties agree that <br /> the activities under this Agreement will be subject to the Business Associate agreement <br /> between the parties. Specifically, Employer warrants and represents that the intended use of <br /> such information is for the Employer's participation in the ERR Program and related Group <br /> Health Plan adminstrative purposes and that the information will not be used for employment- <br /> related actions and decisions. The parties agree to make any necessary amendments to <br /> written documents in effect related to the Employer's Group Health Plan prior to the Effective <br /> Date of this Agreement to assure HIPAA compliance for the ERR Program-related services <br /> under this Agreement. <br /> -7- <br />
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